NPIMap

Organization Active NPI

UC Regents of the University of Maxillofacial

  • Prosthodontics
  • Los Angeles, CA
National Provider Identifier
1124238910
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
37489 Issued in CA
Legal business name
UC REGENTS OF THE UNIVERSITY OF MAXILLOFACIAL
Practice address
10833 Le Conte Ave
Box 951668
Los Angeles, CA 90095-1668
Phone
(310) 794-9858
Fax
(310) 206-4201
NPI assigned
May 23, 2007
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eleni D. Roumanas, DDS
Title
Professor
Phone
(310) 794-9858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 37489 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
Box 951668
Los Angeles, CA 90095-1668

Mailing address

10833 Le Conte Ave # A0-0156
Los Angeles, CA 90095-1668
Phone (310) 206-6926

Other names 1

  • UCLA Maxillofacial Prosthetics Other name

National Provider Directory

National Provider Directory
Tax ID family
Thomas S Klitzner MD56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1124238910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE # A0-0156",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-206-6926",
            "fax_number": "310-206-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "BOX 951668",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-794-9858",
            "fax_number": "310-206-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS OF THE UNIVERSITY OF MAXILLOFACIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "ROUMANAS",
        "authorized_official_first_name": "ELENI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PROFESSOR",
        "authorized_official_telephone_number": "310-794-9858",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "37489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCLA Maxillofacial Prosthetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.